{"npi":"1720021231","type":"NPI-1","status":"active","name":{"display":"Dr. Hubert Russell D.C.","other":[],"first":"HUBERT","last":"RUSSELL","middle":"WILLIAM","credential":"D.C."},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"MI","license":"HR004208"}]},"addresses":[{"purpose":"LOCATION","street_1":"15195 ALLEN RD","city":"SOUTHGATE","state":"MI","postal_code":"481952921","country_code":"US","phone":"7342849800","fax":"7342849088"},{"purpose":"MAILING","street_1":"15195 ALLEN RD","city":"SOUTHGATE","state":"MI","postal_code":"481952921","country_code":"US","phone":"7342849800","fax":"7342849088"}],"license":{"state":"MI","number":"HR004208"},"identifiers":[{"type_code":"01","label":"Other","value":"OQ25014","state":"MI","issuer":"OLD BCBS #"},{"type_code":"05","label":"Medicaid","value":"2906559","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"95OH227870","state":"MI","issuer":"NEW GRP # AS OF 7-18-06"},{"type_code":"01","label":"Other","value":"95OH227880","state":"MI","issuer":"DR RUSSELL'S INDIVDUAL #"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080112000107","type_code":"14-35","type_desc":"PRACTITIONER - CHIROPRACTIC","state":"MI","pac_id":"5294816518"}]},"enumeration_date":"2006-06-13","last_updated":"2008-04-22","_meta":{"source":"NPPES","snapshot_date":"2008-04-22","doc_url":"https://findmynpi.com/api"}}